Changing this contact form

Hey, I have this contact form and I'm trying to modify it. I really need some help though, I'd appreciate it

<div class='borderwrap'>
<div class='header'>Contact Us</div>
<div class='row'>
<?php
      if (!isset($_POST['submit'])) {
      ?>
      <form name="mail" method="post" action="<?php echo $_SERVER['PHP_SELF'] ?>"> 
      <label for="subject">Subject</label>
      <input name="subject" type="text" id="subject" size="50" /><br />
      <label for="name">Name</label>
      <input name="name" type="text" id="name" size="50" /><br />
      <label for="mail">Email</label>
      <input name="mail" type="text" id="mail" size="50" /><br />
      <label for="contacttext">Content</label>
      <textarea name="contacttext" id="contacttext"></textarea><br />
      <input class="button" type="submit" name="submit" value="Submit" /> 
      <input class="button" type="reset" name="reset" value="Reset" />               
      </form>
      <?php
      } else {
      $postname = strip_tags($_POST['name']);
      $postmail = strip_tags($_POST['mail']);
      $postcomm = strip_tags($_POST['content']);
          $to = "mythicaldreams@googlemail.com";
          $subject = "Arelity Contact Form Response";
          $headers = "From: Arelity <notification@arelity.net>\n";
          $message = "Message from arelity.net Contact Form \r\n";
          $message .= "It's contents are as follows:.\n\n";
          $message .= "Name: ".$postname."\n\n";
          $message .= "Email: ".$postmail."\n\n";
          $message .= "Message:\n\n".$postcomm."\n\n";
          $message .= "Thank You.\n\n";
          $mail_sent = @mail( $to, $subject, $message, $headers );
          echo 'Congratulations, your email has successfully been sent. Please expect a response in the next few business days. Thank you for contact Arelity! <br /> <br />';
      }
      ?>
	  </div></div>

Code (markup):

I basically need it to look like this. Just one option.

Help is appreciated, I need some help on how to change how it looks with the styles sheet too please.

 

Try this out. It should work fine and I added a couple of comments for your use.

<div class='borderwrap'>
<div class='header'>Any Title you want or leave blank</div>
<div class='row'>
<?php
      if (!isset($_POST['submit'])) {
      ?>
      <form name="mail" method="post" action="<?php echo $_SERVER['PHP_SELF'] ?>"> 
      <label for="name">Diva's Name</label>
      <input name="name" type="text" id="name" size="50" /><br />
            <input class="button" type="submit" name="submit" value="Submit" /> 
      <input class="button" type="reset" name="reset" value="Reset" />               
      </form>
      <?php
      } else {
      $postname = strip_tags($_POST['name']);
      $postmail = strip_tags($_POST['mail']);
      $postcomm = strip_tags($_POST['content']);
          $to = "mythicaldreams@googlemail.com";
          $subject = "Arelity Contact Form Response";
          $headers = "From: Arelity <notification@arelity.net>\n";
          $message = "Message from arelity.net Contact Form \r\n";
          $message .= "It's contents are as follows:.\n\n";
          $message .= "Name: ".$postname."\n\n";
          $message .= "Email: ".$postmail."\n\n";
          $message .= "Message:\n\n".$postcomm."\n\n";
          $message .= "Thank You.\n\n";
          $mail_sent = @mail( $to, $subject, $message, $headers );
          // Any text in the two lines below can be modified.  The opening and closing ' MUST remain
          echo 'Congratulations, your email has successfully been sent. Please expect a response in the next few business days. Thank you for contact Arelity! <br /> <br />';
      }
      ?>
	  </div></div>

PHP: